Abstract

Posterior capsular rent may be encountered in cases planned for premium IOL implantation, and we highlight a spectrum of cases wherein careful surgical manipulations allowed the placement of premium IOLs (toric or multifocal IOLs) in the bag placement in the presence of a PCR. Premium IOL may be safely placed in the bag in cases with small central PCR that occurs after nuclear emulsification with intact vitreous phase; PCR may be converted into PCCC. Toric IOL implantation in larger PCR may be challenging, as the haptics need to be aligned in a specific axis as well. Anterior optic capture of the IOL optic was performed in a case, with a rotationally stable IOL till 1 month of follow up. Large PC dehiscence in a posterior polar cataract was observed in a case; multifocal IOL was implanted in the bag with anterior optic capture. All cases achieved UDVA oof 20/25-20/20 at 1 month of follow up. Toric IOLs implanted in cases with PCR maintained rotational stability till last follow up.